Post-Surgery Concerns: Pain After Accessory Navicular Surgery - Orthopedics

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After undergoing accessory navicular surgery, it is common to experience some discomfort and pain during the recovery process. However, the sudden onset of pain that you described, especially after applying force to your ankle, raises some concerns that should be addressed promptly.

Firstly, it is important to understand that post-surgical pain can manifest in various ways. The pain you are experiencing, characterized as a "swelling pain" rather than a sharp or stabbing pain, could indicate several possibilities. It may be related to normal healing processes, but it could also suggest complications such as ligament strain or even a potential displacement of the bone or the surgical site.

The accessory navicular bone is a small bone located on the inner side of the foot, and surgery to address issues related to it often involves removing the accessory bone and possibly addressing any associated tendon or ligament issues. Given that you mentioned having a tendon issue and a femoral head implant, it is crucial to monitor your symptoms closely.

Here are some considerations regarding your situation:
1. Pain Assessment: If the pain you are experiencing is significantly different from what you felt immediately after surgery, it could indicate a problem. Post-operative pain typically decreases as healing progresses. An increase in pain, especially after a movement that should not have caused discomfort, warrants further investigation.

2. Signs of Complications: Look for any additional symptoms that could indicate complications, such as swelling, bruising, or changes in skin color around the surgical site. If you notice any of these signs, it is essential to seek medical attention.

3. Return to Activity: It is advisable to avoid putting weight on the affected foot until you can consult with your surgeon. Engaging in activities that put stress on the surgical site too soon can lead to complications, including the risk of dislocation or injury to the surrounding ligaments.

4. Follow-Up Appointment: While you have a follow-up appointment scheduled in a week, if the pain persists or worsens, it is prudent to contact your surgeon's office sooner. They may want to evaluate your condition to rule out any serious issues, such as a fracture or displacement.

5. Pain Management: In the meantime, managing your pain with prescribed medications or over-the-counter pain relievers (as advised by your physician) can help. Elevating your foot and applying ice may also reduce swelling and discomfort.

6. Physical Therapy: Once your surgeon gives the green light, engaging in physical therapy can be beneficial. A physical therapist can guide you through exercises that promote healing and strengthen the surrounding muscles without risking further injury.

In conclusion, while some discomfort is expected after surgery, the sudden increase in pain you are experiencing should not be ignored. It is essential to communicate with your healthcare provider about your symptoms, as they can provide the best guidance tailored to your specific situation. If you feel uncertain or anxious about your symptoms, it is always better to err on the side of caution and seek medical advice sooner rather than later. Your health and recovery are paramount, and addressing any potential issues early can lead to better outcomes.